Dr Jaiswals Medical Center PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DR JAISWALS MEDICAL CENTER PC

Practice address

17424 Ashburton Rd
San Diego, CA 92128-3937

Phone

(734) 757-0244

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ashwani Jaiswal, MD

Title

Owner

Phone

(734) 757-0244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahindokht Mary Raiszadeh, M.D.

  • Legal Medicine
  • San Diego, CA
  • NPI 1194898064
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1396279113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 45",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176941",
            "telephone_number": "858-616-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17424 ASHBURTON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283937",
            "telephone_number": "734-757-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAISWALS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "ASHWANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-757-0244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.